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Residential Parking Zone Petition and Resident Permit Application

Board of Public Works · South Bend, Indiana

Editable official PDF

Edit the agency’s original form, save your draft, attach documents, and review your completed PDF before signing or ordering delivery.

Print and mail service is available for your prepared packet. Review the destination and the agency’s acceptance requirements before ordering. Government payment is separate from document and postage charges.

Petition requires multiple resident signatures; original provides office address but no express postal acceptance. Established-zone application also has a separate current online route.

Official form and instructions
Your application steps6 steps · Board of Public WorksView steps
  1. 1Prepare your answersComplete here

    Edit and save your answers on the official PDF.

    Official source
  2. 2Add supporting documentsComplete here

    Attach the supporting records listed by the agency. Check that every page is legible and complete.

    • New zone: completed petition with signatures/information from at least two-thirds of block residents
    • Established zone permit: proof of residency and vehicle registration
  3. 3Review and signPrepare here, finish outside

    Complete each applicable applicant signature after reviewing the full declarations. Required notary, professional and witness signatures remain separate.

  4. 4Choose paymentPrepare here, finish outside

    No fixed fee is published in the reviewed form; confirm any applicable charge with the agency. Government fees are separate from the optional prepared PDF and postage. Review the exact amount and recipient before authorizing a check.

  5. 5Submit or order deliveryPrepare here, finish outside

    The packet contains two processes: establish a new residential parking zone using pages1–2, or request resident/visitor permits for an established zone using page3. Petition signers must be legal residents age16 or older. Obtain signatures and vehicle details from at least two-thirds of residents on the block. Each resident must sign their own line; reproduce blank signature sheets when more than three residents are needed. Resident permits require proof of residency and vehicle registration. Permit numbers,issuance dates and Board approval are agency-completed fields.

    Official submission instructions
  6. 6Keep your receiptComplete here

    Save your agency confirmation and payment receipt. Track any mailing from My applications. Delivery does not mean the agency approved your application.

Official requirements and sources
  • Official source

    Pages1–2 zone petition, page3 resident/visitor application. Board signature and permit issuance fields intentionally excluded.

  • Official source

    Current city page separately links Residential Parking Application(Established) online.

Complete your application

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Fill in the official form

Select a highlighted blank and type directly. Use Field list for larger controls and any answers that need a continuation page.

Page 1 of 3 · 1 editable blanks
PETITION FOR THE ESTABLISHMENT OF A RESIDENTIAL PARKING ZONE City of South Bend - Board of Public Works 215 S. Dr. Martin Luther King, Jr. Blvd Suite #400 South Bend, IN 46601 WE, THE UNDERSIGNED, BEING SIXTEEN (16) YEARS OF AGE OR OLDER AND LEGAL RESIDENTS OF THE RESIDENTIAL AREA DESCRIBED HEREIN, request that the Board of Public Works of the City of South Bend, in accordance with Municipal Code Article 10 Section 20-114, authorizes a traffic study to be conducted for the establishment of a Residential Parking Zone in the area of (state boundaries of residential area): A Residential Parking Zone is needed in the above described area(s) to: Reduce hazardous traffic conditions that exist; Protect the area from polluted air, excessive noise and litter caused by the entry of commuter vehicles; Protect the residents of the area from unreasonable burdens in gaining access to their residences; Preserve the value of the property in the district. The South Bend Municipal Code indicates that curb space must be occupied seventy-five percent (75%) of the time and the curb space must be occupied by non-residents at least twenty-five percent (25%) of the time. PETITION CHECKLIST • Complete Petition • You are responsible for obtaining the indicated information from at least two- thirds (2/3) of the residents on your block Notification of the Board’s decision will be issued by the return of this form. Date: Applicant Signature Printed Name: Board of Public Works Approval Member President Member Member Member Attest

Select any highlighted blank to type. A larger copy of the selected question appears here.

Review every page before signing. Professional, agency and notary signature areas stay reserved.Original blank form